Case Study: Internal Resorption of Upper Anterior Tooth and Subsequent Implant Placement.
Performed by:
Dr. Avantika Tripathi
Patient Information
• Gender: Female
Chief Complaint
The patient presented with
a complaint of discoloration in the upper front tooth region, specifically
concerning the right maxillary central incisor (tooth #21).
History of Present Illness
The patient reported that
the discoloration of tooth #21 developed gradually over the past few months.
She noticed a change from the normal tooth color to a darker shade, which was
esthetically concerning for her. There was a history of trauma associated 10
years back, no history of pain, or swelling associated with the tooth.
Medical History
The patient is generally
healthy with no significant medical history. There are no known allergies, and
she is not currently taking any medications.
Clinical Examination
• Percussion Test: No tenderness noted.
• Pulp Vitality Testing: The response to cold testing was absent, suggesting possible pulpal necrosis.
Radiographic Examination
A periapical radiograph
revealed:
• The resorption appeared to be progressing, compromising the structural integrity of the tooth.
Diagnosis
Based on clinical findings
and radiographic evidence, the diagnosis was established as internal resorption
of tooth #21.
Treatment Plan
2. Immediate Implant Placement: Following extraction, an immediate implant placement was planned to restore aesthetics and function.
Procedure
• Implant Placement: A suitable implant site was prepared, and a 3.6 mm x 10 mm sized Dentium Superline implant was placed and bone grafting with osteon collagen was done in view of buccal bone defect. The surgical site was closed with sutures.
Postoperative Care
The patient was advised on
postoperative care, including:
• Instructions for oral hygiene to prevent infection.
• A follow-up appointment scheduled for one week post-surgery to evaluate healing.
Follow-Up
• Three Months Post-Operatively: Radiographic evaluation showed successful osseointegration of the implant. The patient expressed satisfaction with the aesthetics and functionality.
Conclusion
This case highlights the
successful management of internal resorption in an anterior tooth through
extraction and immediate implant placement. Early diagnosis and intervention
are crucial in preserving esthetics and function, especially in young patients.
Ongoing follow-up will be essential to monitor implant success and overall oral
health.
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+91 9625994598 / info.india@dentium.com
MON-SAT / 10:30 TO 17:30
Palm Spring, Plaza, Golf Course RD, Sec-54, Gurugram,
Haryana - 122002